Medicaid Program Budget Report (CMS-37), and Supporting Regs.

Medicaid Program Budget Report (CMS-37), and Supporting Regs.

OMB: 0938-0101

IC ID: 7846

Information Collection (IC) Details

View Information Collection (IC)

Medicaid Program Budget Report (CMS-37), and Supporting Regs.
 
No Modified
 
Mandatory
 
42 CFR 430.30(a)(1) 42 CFR 430.30(b)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-37 Medicaid Program Budget Report Screen Shots for CMS.37.docx Yes Yes Fillable Fileable

Health Health Care Services

 

56 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 224 0 0 0 0 224
Annual IC Time Burden (Hours) 7,616 0 0 0 0 7,616
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CMS-37-PRA Disclosure CMS-37-PRA Disclosure.doc 07/08/2008
CMS-37 - Crosswalk CMS-37 - Crosswalk.xlsx 02/26/2011
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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